Stockerl-Goldstein, Keith Evan

Stockerl-Goldstein, Keith Evan is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Bone Marrow Transplant, 7Th Fl, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Stockerl-Goldstein, Keith Evan can be contacted via phone (314) 454-8304.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Bone Marrow Transplant, 7Th Fl Saint Louis MO 63110-1032
Fax: (314) 454-5902
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 2007015096 Missouri

Profile Details

NPI number 1447315189
LBN Legal business name Stockerl-Goldstein, Keith Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Apr 25th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447315189 NPPES
Missouri MEDICAID 205472905

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